Euthanasia and Mass Depopulation During Animal Health Emergencies Overview and Considerations Definitions ● Euthanasia – “Good death” – As painless and stress free as possible ● Mass depopulation – Large numbers of animals – Safely, quickly and efficiently destroyed ● Moral obligation to ensure welfare Just In Time Training Euthanasia and Mass Depopulation Goals of Euthanasia ● Humane treatment at all times ● Acceptable method – Quick, efficient and humane ● Minimize negative psychological impact – Animal owners and caretakers, responders, public ● Prevent disease spread ● Prevent adulterated animal products from entering food chain Just In Time Training Euthanasia and Mass Depopulation CONSIDERATIONS • Guidelines • Method Selection • Procedure • Personnel • Animal Welfare • Public Perception Just In Time Training Euthanasia and Mass Depopulation Euthanasia Guidelines ● American Veterinary Medical Association – Guidelines on Euthanasia (2013) ● FAD PReP/NAHEMS Guidelines: – Mass Depopulation and Euthanasia ● World Organization for Animal Health (OIE) – Terrestrial Animal Health Code (Ch. 7.6) Killing Animals for Disease Control Purposes Just In Time Training Euthanasia and Mass Depopulation Method Selection ● Species ● Number of animals ● Handling and restraint ● Technical skill ● Cost ● Residues ● Personnel safety ● Regulations Just In Time Training Euthanasia and Mass Depopulation Procedure Considerations ● Humane treatment – Quickly rendered unconscious – Minimize pain and stress ● Skilled personnel ● Confirmation of death – Back-up method ● Site selection Just In Time Training Euthanasia and Mass Depopulation Animal Welfare ● Calm, gentle handling ● Non-slip surfaces ● Indoors – consider access for removal and disposal ● Non-ambulatory animals euthanized where they are ● JIT Guidelines for handling/restraint – http://www.cfsph.iastate.edu/EmergencyResponse/just-in-time-training.php Just In Time Training Euthanasia and Mass Depopulation Public Perception ● Conduct indoors or away from public view ● Treat animals humanely at all times ● Media may help convey information – Necessity of depopulation – Updates ● Public Information Officer (PIO) should coordinate to treat the situation proactively Just In Time Training Euthanasia and Mass Depopulation EUTHANASIA METHODS • Physical • Chemical Just In Time Training Euthanasia and Mass Depopulation Physical Euthanasia Methods ● Captive bolt ● Gunshot ● Special circumstance – Electrocution (swine) – Cervical dislocation, decapitation (poultry) ● Adjunct physical methods – Exsanguination and pithing Just In Time Training Euthanasia and Mass Depopulation electrodes from ear to ear or from poll to muzzle. It is critical that the animal is rendered unconscious before proceeding. After stunning, the electrodes should be rapidly repositioned to pass current through the heart and produce fibrillation. The electrodes should be positioned on the sides of the animal over the heart or on the dorsal and ventral regions of the body. Similar to the use of gunshot and penetrating captive bolts, euthanasia using electrocution is especially advantageous when there are concerns regarding carcass disposal due to chemical contamination of the tissues. Chemical Euthanasia Methods 11.5 Chemical Euthanasia Agents ● Injectable drugs Similar to the bovine species, the use of injectable anesthetics for caprines is usually impractical, even for very small numbers of animals. Compared to captive bolt and gunshot, this method requires more time and is more expensive. The process will be necessarily slow because it requires prolonged individual handling and adequate restraint. In addition, this method is comparatively expensive and may make carcass disposal a hardship due to contaminated tissues. Unless a Drug Enforcement Agency (DEA) unscheduled product (e.g. T-61) is made available, the adoption of a protocol utilizing injectable euthanasia agents in small ruminants is unlikely. Even if carcass disposal were not an issue, the necessary record keeping and special requirements of scheduled substances is a strong deterrent. Even so, the use of injectable euthanasia agents may be a practical euthanasia method for sheep and goats in certain situations. This option should be considered when animals have been hand raised (e.g., 4-H projects), particularly if the owner insists on being present during euthanasia. The previous section titled “Chemical Methods” covers general information on chemical euthanasia. – Barbiturates/ barbituric acid derivatives – Documentation of controlled substances ● Gas – Anesthetic gases – Carbon monoxide – Carbon dioxide ● Adjunct injectable chemical methods Potassium chloride--a non-toxic chemical--may be used to euthanize sheep and goats; but animals must be anesthetized prior to administration, and this greatly adds to the time expended per animal. Chloral hydrate may also be administered intravenously (900mg/kg) once the sheep or goat is heavily sedated. Euthanasia and Mass Depopulation Just Inlength Time Training The of time required to complete this procedure makes it impractical for most depopulation Methods of Euthanasia ● Physical methods – Quick, painless, humane, practical – Require technical skill, highly trained personnel ● Chemical methods – Pet livestock, companion animals – Impractical for mass depopulation of livestock Chemical residues Large volume of drugs required Increased handling to inject drugs Cost of chemicals Just In Time Training Euthanasia and Mass Depopulation Unacceptable Methods of Euthanasia ● Manually applied blunt trauma ● Injection of any chemical not labeled for use as a euthanasia agent ● Injection of air into blood vessel ● Electrocution with a 120 or 220 volt electrical cord Just In Time Training Euthanasia and Mass Depopulation EUTHANASIA METHODS BY SPECIES Just In Time Training Euthanasia and Mass Depopulation Bovine, Sheep, Goat Euthanasia ● Primary methods – Captive bolt – Gun shot ● Adjunct methods – KCL, Magnesium salts – Exsanguination, pithing ● Companion livestock – Injectable drugs Barbiturates Just In Time Training Euthanasia and Mass Depopulation Equine Euthanasia ● Primary methods – Sedation then barbiturate – Captive bolt – Gunshot ● Adjunct method ● Safety issues Just In Time Training Euthanasia and Mass Depopulation Swine Euthanasia ● Primary methods – Captive bolt – Gunshot – Gas: Carbon dioxide (CO2) Only for smaller swine ● Adjunct methods ● Companion livestock – Injectable drugs Just In Time Training Euthanasia and Mass Depopulation In cases in which asphyxiant or toxic gas is used, personnel must be provided with appropriate safety training. Suitable respirator equipment (e.g., a self-contained breathing apparatus and oxygen equipment) should be available on site. Personnel in full PPE can become very uncomfortable in warm weather over time (Webster 2007). All equipment must be used according to guidelines established by the Safety Officer. Poultry Euthanasia 14.3 Water-Based Foam ● Methods Water-based foam is a newer method being employed for emergency depopulation of land-based poultry and waterfowl. This foam is similar to that used by firefighters and is generated from a foam concentrateand air or an anoxic gas using specially designed Carbon dioxide (CO ) 2 equipment. Water-based foam, as well as other foam types, has been used for mass in the United States and other depopulation Water-based foam countries during avian influenza outbreaks. Poultry die from physical asphyxiation versus chemical asphyxiation as seen with CO2 euthanasia. Studies have shown that asphyxiation by foam occurs more quickly than CO2 tenting (Benson et al 2007). Other advantages include greatly increased speed of depopulation when compared to other methods; decreased labor because fewer personnel are needed for preparation and to execute this approach; and little or no bird handling is required. In addition, foam decreases dust and therefore airborne pathogens, and clean-up is minimal since the foam dissipates over a few hours. Although water-based foam has not been officially approved as a euthanasia tool, it is used and approved for poultry mass depopulation under APHIS specified emergency response conditions. If composting is used for carcass disposal, an additional advantage of the foaming process is that it adds necessary moisture to assist inhouse composting. Disinfectants may also be added to the water/foam to help decontaminate the immediate environment. – Inhaled anesthetics – Injectable anesthetics – Cervical dislocation for smaller birds – Decapitation NOT recommended if other means available Just In Time Training Euthanasia and Mass Depopulation Confirmation of Death ● Death must be confirmed on each individual animal ● Parameters – Lack of heartbeat – Lack of respiration – Lack of corneal reflex The eyelid is not closed when the cornea/eyeball surface is touched – Presence of rigor mortis Just In Time Training Euthanasia and Mass Depopulation PERSONNEL • Training • Safety • Psychological Impact Just In Time Training Euthanasia and Mass Depopulation Personnel Training ● Animal handling ● Approved euthanasia method to be used ● Safety issues ● PPE ● Biosecurity ● Cleaning and disinfection procedures Just In Time Training Euthanasia and Mass Depopulation Safety ● Specific considerations – Size, weight, – Temperament Dangerous animals Animal familiarity humans with – Restraint methods available – Euthanasia method and/or equipment available Just In Time Training Euthanasia and Mass Depopulation Psychological Impact: Responders ● Compassion fatigue ● Post-traumatic stress disorder (PTSD) ● Recognition in self and others ● Psychological first aid ● Counselors and mental health experts should be available Just In Time Training Euthanasia and Mass Depopulation Because timely initiation of depopulation or euthanasia procedures is critical to containing disease, euthanasia personnel must be familiar with general considerations that are essential to planning an effective euthanasia program. A thorough understanding of primary aspects of depopulation and euthanasia can help euthanasia personnel to act quickly and decisively in a crisis situation. Psychological Considerations: Central to successful euthanasia activities are factors such as using humane euthanasia methods, gaining Owners and Stakeholders public support for euthanasia activities, documenting the use of controlled substances, and minimizing personnel and owner stress. These factors are discussed below. Owners should 4.1 ● Humane and Aesthetic Considerations not be present ● If present, brief owners on Euthanasia should take place in such a wayn as to minimize an animal’s pain ad stress. To meet this requirement, the animal should be rendered unconscious as quickly as possible. Essential to the fulfillment of this objective are the careful selection of the – Chosen euthanasia method quickest, most humane euthanasia methods, and skillful use of these methods on the part of the Euthanasia Team, as outlined in – Safety these guidelines. Public perceptions of the humaneness of the procedures–used also are important, as discussed below. Euthanasia Counseling services should be performed or closely supervised by a veterinarian, and each animal should be checked at the conclusion of the procedure to ensure that death has occurred. ● Public Information Office in charge of communications FAD PReP/NAHEMS Guidelines: Mass Depopulation & Euthanasia (2011) Just In Time Training 9 Euthanasia and Mass Depopulation References and Resources ● AVMA Guidelines for the Euthanasia of Animals – https://www.avma.org/KB/Policies/Documents/euthanasia.pdf ● FAD Prep/NAHEMS Guidelines Mass Depopulation and Euthanasia – http://www.cfsph.iastate.edu/pdf/fad-prep-nahems-guidelinesmass-depopulation-and-euthanasia ● Procedures for Humane Euthanasia. Iowa State University College of Veterinary Medicine – http://vetmed.iastate.edu/humaneeuthanasia/en/euthanasi a-downloads#Index ● World Organization for Animal Health (OIE) Terrestrial Animal Health Code – Killing of Animals for Disease Control Purposes – http://www.oie.int/fileadmin/Home/eng/Health_standards/tahc/20 10/en_chapitre_1.7.6.htm Just In Time Training Euthanasia and Mass Depopulation Acknowledgments Development of this presentation was by the Center for Food Security and Public Health at Iowa State University through funding from the Multi-State Partnership for Security in Agriculture Authors: Katie Steneroden, DVM, MPH, PhD, DACVPM Reviewer: Glenda Dvorak, DVM, MPH, DACVPM